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Individual

MS. SUZANNE MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,CADCIII

Contact information

Practice address
6417 ODANA RD, MADISON, WI 53719-1128
(608) 442-1637
(608) 442-1887
Mailing address
6417 ODANA RD., MADISON, WI 53719-1128
(608) 442-1637
(608) 442-1887

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1890
WI
101YP2500X
Professional Counselor
Primary
3357-125
WI

Other

Enumeration date
01/05/2007
Last updated
10/12/2016
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